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Compliance to Multidisciplinary Lifestyle Intervention Decreases Blood Pressure in Patients with Resistant Hypertension: A Cross-Sectional Pilot Study

  • Identification data

    Identifier: imarina:9291499
    Handle: https://hdl.handle.net/20.500.11797/imarina9291499
    Authors:
    Espinel, EAzancot, MAGomez, ABeneria, ACaraben, AAndurell, LDelgado, PCastane, HJoven, JSeron, D
    Abstract:
    Hypertension is a common chronic medical condition. Treatment is not satisfactory in a significant proportion of patients with primary hypertension, despite the concurrent use of three or more medications with different mechanisms of action. Such treatment-resistant hypertension is a clinical challenge associated with poor prognosis and needs further investigation. The efficacy of lifestyle changes has not been established yet in patients with resistant hypertension, and educational efforts appear clinically irrelevant in patients who must achieve behavioral changes without supervision. A 6-month multidisciplinary pilot intervention enrolled 50 patients with established resistant hypertension. The aims were: (1) to examine whether intensive and supervised lifestyle changes contribute to decreasing blood pressure in this condition, and (2) to identify which components affect compliance and feasibility. The program provided intensive changes in nutrition, physical exercise, and control of sleep disturbances supervised by nutritionists, physiotherapists, and psychologists. Nurses and pharmacists followed up on adherence to the antihypertensive medication. The primary outcome was 24 h blood pressure control. Data in patients with full compliance (n = 30) indicate that lifestyle modifications in resistant hypertension significantly reduced 24 h both systolic and diastolic blood pressure (p < 0.01), body mass index (p < 0.01), medication burden (p = 0.04), improving physical fitness, and cardiovascular risk markers such as heart rate (p = 0.01) and augmentation index (p = 0.02). The adherence to the intervention was moderate, with an attrition rate of 12%. A modified version reducing visits and explorations will likely improve compliance and can be used to assess the long-ter

  • Others:

    Author, as appears in the article.: Espinel, E; Azancot, MA; Gomez, A; Beneria, A; Caraben, A; Andurell, L; Delgado, P; Castane, H; Joven, J; Seron, D
    Department: Medicina i Cirurgia
    URV's Author/s: Castañé Vilafranca, Helena / Joven Maried, Jorge
    Keywords: Weight-loss Weight management Therapy Therapeutics Surge Prevalence Patterns Metaanalysis Management Hypertension Denervation Clinical-relevance Adults
    Abstract: Hypertension is a common chronic medical condition. Treatment is not satisfactory in a significant proportion of patients with primary hypertension, despite the concurrent use of three or more medications with different mechanisms of action. Such treatment-resistant hypertension is a clinical challenge associated with poor prognosis and needs further investigation. The efficacy of lifestyle changes has not been established yet in patients with resistant hypertension, and educational efforts appear clinically irrelevant in patients who must achieve behavioral changes without supervision. A 6-month multidisciplinary pilot intervention enrolled 50 patients with established resistant hypertension. The aims were: (1) to examine whether intensive and supervised lifestyle changes contribute to decreasing blood pressure in this condition, and (2) to identify which components affect compliance and feasibility. The program provided intensive changes in nutrition, physical exercise, and control of sleep disturbances supervised by nutritionists, physiotherapists, and psychologists. Nurses and pharmacists followed up on adherence to the antihypertensive medication. The primary outcome was 24 h blood pressure control. Data in patients with full compliance (n = 30) indicate that lifestyle modifications in resistant hypertension significantly reduced 24 h both systolic and diastolic blood pressure (p < 0.01), body mass index (p < 0.01), medication burden (p = 0.04), improving physical fitness, and cardiovascular risk markers such as heart rate (p = 0.01) and augmentation index (p = 0.02). The adherence to the intervention was moderate, with an attrition rate of 12%. A modified version reducing visits and explorations will likely improve compliance and can be used to assess the long-term maintenance of these benefits in managing resistant hypertension by diverse healthcare providers.
    Thematic Areas: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: helena.castane@estudiants.urv.cat jorge.joven@urv.cat
    Author identifier: 0000-0003-2749-4541
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/2077-0383/12/2/679
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of Clinical Medicine. 12 (2):
    APA: Espinel, E; Azancot, MA; Gomez, A; Beneria, A; Caraben, A; Andurell, L; Delgado, P; Castane, H; Joven, J; Seron, D (2023). Compliance to Multidisciplinary Lifestyle Intervention Decreases Blood Pressure in Patients with Resistant Hypertension: A Cross-Sectional Pilot Study. Journal Of Clinical Medicine, 12(2), -. DOI: 10.3390/jcm12020679
    Article's DOI: 10.3390/jcm12020679
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications

  • Keywords:

    Medicine (Miscellaneous),Medicine, General & Internal
    Weight-loss
    Weight management
    Therapy
    Therapeutics
    Surge
    Prevalence
    Patterns
    Metaanalysis
    Management
    Hypertension
    Denervation
    Clinical-relevance
    Adults
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)

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